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General NPI Number Information
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NPI Number | 1760687842
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Entity Type | Individual
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Provider Name | NELSON EDUARDO AGUILAR MD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 4300 N UNIVERSITY DR STE B107
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City | LAUDERHILL
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State | FL
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Zip | 33351-6243
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Country | US
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Telephone | 954-746-6900
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Fax | 954-746-8710
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Provider Business Mailing Address
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Address Line | 4300 N UNIVERSITY DR STE B107
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City | LAUDERHILL
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State | FL
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Zip | 33351-6243
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Country | US
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Telephone | 954-746-6900
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Fax | 954-746-8710
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME95556
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 16719
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License Number State | PR
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